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Senior Billing & AR Associate

RouteGenie, Nashville, Tennessee, United States, 37247

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RouteGenie is a fast-growing healthcare technology company powering non-emergency medical transportation (NEMT) operations across the U.S. Our platform supports routing, dispatch, billing, and care coordination for healthcare providers, payers, and transportation partners. We are building a scalable, software-led business with strong growth momentum.

Role Overview RouteGenie is seeking a Senior Billing & Expense Associate to own the execution of billing, collections, claims billing, sales commission calculations, and expense oversight. This is a hands-on individual contributor role responsible for ensuring revenue is billed accurately, cash is collected efficiently, and company spend is visible and controlled.

This role sits at the center of our contract-to-cash process and works closely with internal teams and external accounting partners to support a clean, scalable finance operation as the business grows.

This is hybrid position (Monday–Friday). The base salary range for this role is $60,000-$75,000.

Key Responsibilities Billing, Revenue & Accounts Receivable

Prepare and issue accurate customer invoices in accordance with contract terms

Track accounts receivable and manage collections follow-ups

Resolve customer billing questions and discrepancies

Reconcile invoiced revenue to cash receipts and accounting records

Identify and escape risks related to delayed billing or collections

Concierge Claims Billing

Execute concierge claims billing workflows from submission through payment

Track claims status, aging, and denials

Follow up with payers and partners as needed

Maintain clear documentation of claims billed versus cash received

Identify recurring issues or delays and surface trends to leadership

Calculate monthly sales commissions based on approved compensation plans

Maintain commission inputs, rules, and supporting documentation

Prepare commission statements for internal review

Reconcile commissions to the underlying revenue activity

Coordinate commission payout inputs with payroll providers

Flag discrepancies or edge cases for review

Expense & Spend Oversight

Review accounts payable summaries prepared by outsourced accounting partners

Track departmental spend against budget

Monitor recurring vendors and expense trends

Ensure expenses are coded correctly

Flag unusual or unexpected spend and support approval processes

Month-End Close Support

Support revenue and expense review prior to month-end close

Partner with external accounting firms to ensure a timely and accurate close

Reconcile key revenue and expense accounts

Maintain documentation to support audits, reporting, and diligence

Qualifications

4–8+ years of experience in billing, accounts receivable, revenue operations, or accounting operations

Experience in SaaS, healthcare, NEMT, or other complex billing environments preferred

Strong attention to detail and process discipline

Comfortable owning execution independently

Strong Excel / spreadsheet skills / ability and willingness to leverage AI agents

Clear, professional communication skills

Experience working with outsourced accounting or payroll partners

Accounting or finance degree helpful; CPA not required

What Success Looks Like

Invoices are issued accurately and on time

Accounts receivable aging improves month over month

Claims are tracked with clear visibility into delays and denials

Sales commissions are calculated accurately and consistently

Company spend is visible, controlled, and predictable

Leadership has confidence in day-to-day revenue and expense execution

Why You’ll Love Working Here

Customer‑First Approach: From initial implementation through long‑term support, our team builds solutions to support our customers for the long term. Proven Results, Fast Innovation: Our platform empowers customers to complete more trips with the same fleet, cut down on no‑shows, and improve billing accuracy. We are continuously innovating and investing in our platform so our customers can improve their operations.

Culture of Collaboration & Improvement: You’ll work alongside a team of passionate problem‑solvers who share knowledge freely, celebrate wins together, and push each other to do their best work.

Room to Grow: At RouteGenie, you’ll have opportunities to expand your skills, take on new challenges, and innovate in a fast‑moving environment where your contributions truly matter.

We know great work starts with a supportive environment. Here’s what we offer:

Competitive pay with an annual bonus opportunity

Health, dental, and vision insurance

Paid time off, holidays, and flexible core business hours

401(k) retirement plan with company contribution

Company paid parking in a covered parking garage

Professional development opportunities, including training and conferences

A collaborative, mission‑driven culture where your impact is seen and valued

Ready to Join Us? If you’re a master of billing, accounts receivable, revenue operations, or accounting operations and can own the contract to cash cycle, this role is for you. You’ll roll up your sleeves, take on a variety of responsibilities, and see the impact of your work every day.

At RouteGenie, your efforts will directly support our mission to connect people and care by powering the technology that moves them. If you’re ready to bring your skills to a collaborative, fast‑moving team, we’d love to hear from you—apply today!

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